Registration

(Form best viewed with IE or Netscape version 5 or later)

Registration will be accepted and finalized upon receipt of payment.
Your place in the class is not reserved until payment is received.

Fields in bold are required

First Name: Last Name:

Street Address:

Street Address (2):

City: State: Zip code:

Phone numbers (please include area code)

Home: Work: Cell:

E-mail address:

Emergency contact: Phone:

Where did you hear about us?:

Your T-shirt size:
(T-shirt is included free with your registration)

Dates of clinic you wish to attend:

For Two Day Clinics only:
Approximate time you'll be dropping your horse off on Friday:

What is your experience with horses (not just your current horse)?

Information on the horse you'll be bringing:

Name : Breed:

Horse's name as you'd like it to appear on your certificate:

Years owned: Age: Sex:

What is your horse's experience and history?

What successes have you had with your current horse?

What are your problems with your current horse?

What do you hope to accomplish in this class?

Do you have further goals for you and your horse?

What are your horses bad habits (such as kicking, rearing, etc.)?

Any other questions or concerns?

We reserve the right to evaluate your horse once you are in class. If we determine that this is not the appropriate class for your horse, we may ask you to leave - but your money will be refunded in that event

Photo Release: I give my permission to The Common Horseman, LLC and any/all of its affiliates to take video and/or still pictures of me and my horse before, during, and after class, and to use said photos in any promotional or other materials.

Liability Release
I realize that horses are dangerous animals. I assume ALL risks, known and unknown, seen and unseen, and hereby release all individuals, The Common Horseman, Let’s Ride Ranch, and its affiliates, of any liability for loss, illness, damage or injury, to my self or my horse, including death.

You must accept the liability release in order to attend the class.

Please send your check or money order payable to The Common Horseman, LLC and send to:

The Common Horseman, LLC
10498 45th Avenue NE,
Sauk Rapids, MN 56379